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Related Concept Videos

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Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Decision Making01:20

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Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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Increasing Function01:18

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An increasing function exhibits a rise in output values as input values increase. This behavior is depicted graphically as a curve or line that slopes upward from left to right. Such a function satisfies the condition that if x1 < x2, then f(x1) < f(x2), indicating that the function values grow with increasing inputs. This concept is fundamental in understanding growth trends across various domains, such as population dynamics, financial investments, or resource consumption.The...
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Increased Body Temperature01:25

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Increased pulse rate01:17

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Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
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Related Experiment Video

Updated: Jan 30, 2026

Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
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Shared decision making implementation: a case study analysis to increase uptake in New South Wales.

Tara Dimopoulos-Bick1, Regina Osten2, Chris Shipway2

  • 1NSW Agency for Clinical Innovation, Albert Avenue, Chatswood, NSW 2067, Australia. Email: regina.osten@health.nsw.gov.au; chris.shipway@health.nsw.gov.au; and Corresponding author.

Australian Health Review : a Publication of the Australian Hospital Association
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Summary

Implementing shared decision making (SDM) in healthcare requires addressing workforce skills, motivation, and communication. Interventions should focus on training, patient engagement, and creating supportive environments for better patient experiences.

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Area of Science:

  • Health Services Research
  • Implementation Science
  • Behavioral Science

Background:

  • Shared decision making (SDM) is crucial for patient-centered care but faces implementation challenges in clinical practice.
  • New South Wales (NSW) Health aims to increase SDM uptake through targeted interventions.

Purpose of the Study:

  • To identify barriers to SDM implementation in NSW Health.
  • To determine effective interventions for increasing SDM uptake using theoretical frameworks and international best practices.

Main Methods:

  • A survey of 53 attendees at an SDM masterclass identified implementation barriers.
  • Theoretical analysis using the Theoretical Domains Framework and COM-B Model.
  • Purposive review of international SDM implementation strategies.

Main Results:

  • Nine of 14 theoretical domains were identified as relevant to SDM implementation in NSW Health.
  • Potential interventions include education, training, enablement, persuasion, and environmental restructuring.
  • International strategies involve patient decision aids, clinical champions, and policy changes.

Conclusions:

  • Initial efforts should prioritize workforce skills, motivation, communication, service provision, and receptive work environments.
  • Facilitating SDM requires sustained commitment to patient experience, evidence translation, and reducing care variations.